Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $338.84 / $407.38	Facility		$97.72	$338.84	$407.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $97.72 / $125.89	Professional		$81.28	$97.72	$125.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $389.05 / $457.09	Facility		$239.88	$389.05	$457.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $128.82 / $323.59	Professional		$109.65	$128.82	$323.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $194.98 / $323.59	Facility		$83.18	$194.98	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Professional		$123.03	$123.03	$123.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $123.03 / $177.83	Facility		$97.72	$123.03	$177.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Professional		$97.72	$97.72	$97.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $204.17	Professional		$186.21	$186.21	$204.17
United Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $162.18 / $181.97	Facility		$91.20	$162.18	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $75.86 / $165.96	Professional		$51.29	$75.86	$165.96
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Facility		$575.44	$575.44	$575.44
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $912.01	Professional		$616.60	$616.60	$912.01